Tell us about you.
Please answer each question as completely as possible.
Where do you reside (city and state)?
What is your profession?
How do you identify your gender?
How old are you?
18-21 years old
22-26 years old
27-30 years old
31-35 years old
36-40 years old
Above 40 years old
What is your yearly income?
Highest education level completed?
School of life
In a committed partnership
Do you care for a minor, an elderly or differently-abled person?
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